Soft tissue mobilization is more effective than self-stretching in the acute reduction of common wrist extensor tendon stiffness in recreational tennis players.

Background: Common wrist extensor tendon (CET) stiffness is an understudied risk factor for lateral elbow tendinopathy. Purpose: The purpose of this study was to investigate the immediate and short-term effects of soft tissue mobilization (STM) versus self-stretching on CET stiffness in a group of r...

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Publicado en:Physiotherapy Theory & Practice Vol. 42; no. 4; pp. 504 - 513
Autores principales: Day, Joseph, Merriman, Harold
Formato: diagnostic images pictorial research tables/charts randomized controlled trial Journal Article
Publicado: Taylor & Francis Ltd Apr2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2026
      vid: 42
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/09593985.2025.2587139
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        atl: Soft tissue mobilization is more effective than self-stretching in the acute reduction of common wrist extensor tendon stiffness in recreational tennis players.
      aug:
        au:
          Day, Joseph
          Merriman, Harold
        affil: Department of Physical Therapy, University of Dayton, Dayton, OH, USA
      sug:
        subj:
          Tennis
          Athletes
          Wrist Joint Physiology
          Tendons Physiopathology
          Instrument-Assisted Soft Tissue Mobilization
          Stretching
          Treatment Outcomes Evaluation
          Human
          Female
          Male
          Middle Age
          Aged
          Randomized Controlled Trials
          Random Assignment
          Control Group
          Abduction
          Flexion
          Forearm Physiology
          Biomechanics
          T-Tests
          Confidence Intervals
          Repeated Measures
          Analysis of Variance
          Comparative Studies
          Post Hoc Analysis
          Power Analysis
          Data Analysis Software
          Descriptive Statistics
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
          Male
      ab: Background: Common wrist extensor tendon (CET) stiffness is an understudied risk factor for lateral elbow tendinopathy. Purpose: The purpose of this study was to investigate the immediate and short-term effects of soft tissue mobilization (STM) versus self-stretching on CET stiffness in a group of recreational tennis players. Methods: Stiffness, measured with the shear wave modulus in kilopascals (kPa), was obtained at rest on the dominant CET using 2D SWE ultrasound imaging (GE Logiq S8, 9 L, linear transducer). Participants were randomly assigned to a treatment group (STM or self-stretching). Stiffness measures were taken immediately post-treatment and 15-minutes post-treatment. Within examiner intraclass correlation coefficients (ICC (3, 1) were calculated. A repeated measures ANOVA using one between variable group (STM or stretching) and one within variable group (initial, post-treatment, and 15 minutes post-treatment) was used. Results: Thirty-two participants (mean age = 58.2 ± 12.1 yr) were randomized into the STM (n = 16) or stretching group (n = 16). There were no group differences in body mass index, age, frequency of play, or activity levels (p >.10). The within day intra-rater reliability was excellent (ICC =.98 (95% CI =.95–.99). There was a significant interaction between group and time (p =.015). There was a significant decline in CET stiffness in the STM group compared to the stretching group between pre-treatment and post-treatment and between pre-treatment and 15 minutes post-treatment ((p ≤.013), mean change > −39.64, Cohen's d >.55). Conclusion: The reduction in stiffness values cannot be solely attributed to our STM intervention secondary to the lack of a control group. Nevertheless, clinicians may consider STM techniques over self-stretching for the purpose of mitigating CET stiffness in healthy middle-aged recreational tennis players.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Unknown
    language: English
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